HomeMy WebLinkAboutE2022-0880 - Permits (2)�6`X'PORT
City of Newport Beach
04 6
Community Development Department- Building Division
F
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
C9C/F00.N��
Inspection Requests Phone: (949) 644-3255
n ewportbeach ca.gov/inspections
11111111111111111111111111111111111111111111111 111� 11Electrical Permit : E2022-0s80
Plan Check No: 2599-2021
Work Class : Other
Issued Date : 11/21/2022
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1953 VISTA DEL ORO
Description: ELEC NEW SUB PANEL
Owner:
KAMRAN GHADIMI
Address :
1412 W 7TH ST SAN PEDRO, CA 90732
Phone :
(310) 722-9159
Applicant:
KAMRAN GHADIMI
Address :
1412 W 7TH ST SAN PEDRO, CA 90732 r
Phone :
(310) 722-9159
Owner/Builder: KAMRAN GHADIMI
Address:
1412 W 7TH ST SAN PEDRO, CA 90732 "
Phone :
(310) 722-9159
Code Edition : 2019
Type of Construction :
Building Setbacks
Flood Zone: X
Use Zone: R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS: O/B FORM W/ X2021-2993
Desc : N TR5435 BLK LOT 110 TR 5435 (L,I
Contractor
Address:;
Phone:
Con State Lie
Lie Expire't
Bus Lie:,
'Bus Lie Expire:
PAR 110
c
J
b
O
,6
OO
OG
Q
3
UU
b4i
2
3
U
!
•
B N
p UUb
VU�
V
�
j
t
a: Cyril penalty of
1, as owner of the -property, _am exclusively contracting with licensed Contractors to, construct the project (Section 7044, Business and: Professions: Code: The Contractors' State License Law doesnot
yto an owner of property who builds or Improves thereon, and whocontracts for the projects with a licensed Contractor pursuant to the Contractors "State License Law)..
I am exempt fromlicensure under the Contractors` State -License Law for the following reason: .
9 (commencing with Section 7000) of Division
license is In full force
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t;3 ir6,W�� IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES: AS PROVIDED FOR IN SECTIONS7AS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S PEES
hereby affirm under penalty of Perjury one of the following.deola€atipns:
I I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Rotations as provided for by Section 3700 of the Labor Code, for lh
erfonnance Of the work for which this permit is issued. Poilcy No.
11-have and will maintain workers` compensation insurance, as required by Section 3700 of the Labor Code,. for the performance of the work: for which this permit Is issued.. My workers` compensatiol
a'of Agent: _
Briny that, in
if I should be
Lhl
lplareI
ACNON
this permit is is
BY
• s • A •
•e • • • 'CffZD
b L 0(lt 1, L) ASBESTOS NO'
• • • • 61GNk4UR8:•
• • • e a
•ee ®s. •• s e e• •e
IS:NOTAPPLILABLE TO..
many manner s
I shall forthwith
the work for which this permits
pensadon laws of California, and
r-,
y—�xVVtVUY---, V aj t 6
� --E�72: